HomeMy Public PortalAbout5218 ARDEN DR_Electrical__ 6AE63-CE806 5-62 APPLICATION - FOR ELECTRICAL' WAIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
FRECEPT. ,� TOTAL NO. EACH FEE
OUTLE S FIRST 20 $20 $ vOWNERT MACH. ADD'L 10ADDRESS �� V'L OVER 2O /�HTING TOTAL F1R5T20 20 Z CITY TEL.NO.a zSS
FIXTURES } I ADD'L 10 ELECTRICIAN
OV R
20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRES
GARB.DISP. STA.COOK CITY TEL. O.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. . STA,APP.(1/.H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST gICT NO. GROUP ZONE. PROES B
O 1 1.00 S (J
1 3 1.50 INSPECTION RECORD
3 a 2.00
8 is 2.50 G}.
O
15 50 3.00 V
50 100 5.00 ix
O
SIGNS: NO.TRANS.
NO.LAMPS W
CL
N
SERVICE 0.600V-NOT OVER 200A 1.00 z
SERVICEO.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2,00
SUP PLEMENTAFY PERMIT ISSUING FEE 1.00 ON
TOTAL FEE � �
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / F
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING, WIRING (/��,>S.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 2.--IC7- Z--
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDEN�L PROPERTY./j/� POWER '
SIGNATURE aA}�,� UTILITY CO.NOTIFIED
OF PERMITTEE _ v1
VALIDATIPW ARTHUR C. VEIT ({
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
5 024-%D' OCT 1 2 D 3,00-
llle� �a� '6
76A663-CE806 9-64 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
�p _P
BUILDING AND SAFETY DIVISION A /✓
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING
FOR APPLICANT TO FILL IN .
RECEIPT. J TOTAL , NO. EACH FEE "�
PLIGHT OUTLETS` FIRST 20 $20 $ OWNER fv6;e�-
ADD'L 1O ADDRESSAl, Q Al
W
SITCH. _ OVER 20
TOTALF1Rsr 20 .20 CITY o TEL. NO.
LIGHTING I ))
FIXTURES }� I 2 10 ELECTRICIAN 6. C
1 OVER VER R't
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS674 14 r a Y m L
GARB.DISP. STA.COOK
CITY 6 0 V TEL. NO.3 I' �}
DISHWASH. AUTO.-WASH. STATE De--
/(J L A/p
Q Ile.
LICENSE NCS.
SPACE HTRS. STA.APP.(I/¢H.P.MAX.) .50 -
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP �ZIONE PR�OjC�ESSED BY
O 1 1.00 �'a o T _+_/
1 3 1.50 INSPECTION RECORD
>-
3 S 2.00 n.
O
8 15 2.50 V
15 50 3.00
50 100 5.00
V
SIGNS: NO.TRANS Lu
NO.LAMPS N
_z
SERVICE 0.600V-Nor OVER 200A 1.00
SERVICE 0.60OV•OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 (,r/
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 3
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
L.SIDE
COUNTY ORDINANCES AND STATE LAWS REGULATING _
L WIRING. WIRING R
Y .CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR FIXTURES '
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �.
, THE ABOVE DESCRIBED RESIDENTI l PROPER Y. POWER
RE UTILITY CO.NOTIFIEDITTE
FINAL
VALMO SU E SUPERVISING
G ELECTRICAL
CK MO CA6H SUPERVISING ELECTRICAL ENGINEER
L&O 2 0 0 5 x AY 13 2 D 3.8 0
76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES i�Ic 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT i NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN R F 'u�al�Oil 9�9d`d
Acacia
BY READY FOR DATE ISSUED
ADDRESS 5134 N. Ste 1 1/"" _ FIRST INSPECTION
CITY San Gab. TEL. NO.
T 68583 r
COUNTY LICENSE NO.1104 EXPIRES BUILDING
ADDRESS 5218 No Arden
PERMIT FEES
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 11 NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER - Celeste
TOTAL OUTLETS 37 Sc $ 118-5 MAIL -
ELEC. RANGES P5 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 s 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
���NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROP DESCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH ,
1/2 &LESS $ :25 SIGNATURE OF
1/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 Is 1.50
15 50 2.50
50 200 5.00
200 500 10.00 ..1
�j 500 1000 15.00 Q
IZ
OVER 1000 20.00 (�
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS MOTORS (75%of ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME'
FOR EACH PERMIT:
WIRING $1.00 I 11 00 CONDUIT' -
FIXTURES $1.00 1 00 WIRING
SUPPLEMENTARY .50 FIXTURES -
POWER
TOTAL FEE I $ 4 140 UTILITY CO. NOTIFIE.1
® I{ 1` FINAL
V
WORKER S'COMPENSATION DECLARATION CE-806G (2-80) APPLICATION FOR ELECTRICAL PERMIT
I hereby affirm that I have a certificate of consent to self' COUNTY OF LOS ANGELES `e BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
41c,
r.r e copy ther t(Sec. 3800, ab.C.)
✓ IS -;5 , � d,Il f SLFOR APPLICANT TO FILL IN JOB
cy No. Company ���V EACH NO. FEE ADDRESS j
ONew Residential Bldgs.&Pools `
Certified copy is hereby furnished. 1 &2-Famil'y,Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. NEAREST
ertified copy is filed with th count uilding inspection CROSS ST
d rtme t. Residential Swimming Pools OWNER OR
FIRM NAME
Datz �Applicant 1 Outlets: Rec._Light Svv. - MAIL
First 20 ADDRESS
CERTIFICATE OF EXEMPTION FR WORKERS' Total No. Additional CITY Tel No }
COMPENSATION INSURANCE' PLAN CHECK CL
APPLICANT
O
(This section need not be completed if the work involved U
by the permit is for one hundred dollars ,($100) or less.) Lighting Fixtures First 20 ADDRESS
Additional cr_
Total No. 0
I certify that in the performance of the work for which this Fixed Appliances Not Over 1 HP CITY Tel N
permit is issued, I shall not employ any person in any manner PERMIT U
so as to become subject to the Workers' Compensation Laws. Range_ Heater_D.W. APPLICANT
Oven _ Dryer_W.M. ADDRESS
to
Date Applicant Top _ FAU _W.H.
Hood _ Fan _Other_ CITY Tel No -ZI(1(
NOTICE TO APPLICANT: If, after making this Certificate of Disp. —:Room Air Cond._ LICEN EOR r
Exemption,• you should become subject to the Workers' REG.NUMBE Class
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCES ED BY
with comply with such provisions or this permit shall be Size&Type HP,KW, KVA,or KVAR
deemed revoked. Ulr
_ Up to 1 Incl
_
Over 1 to 10 Incl. FINAL
DATE �_-
LICENSED CONTRACTORS DECLARATION t VALIDATION
Over 10 to 50 Incl. ,
I hereby affirm that I am licensed under provisions of Chapter Over 50 to 100 Inc. -FINAL
9 (commencing with Section 7000 of Division 3 of the Busi- BY
( g ) Over 100
ness and Professions.Code, and my license is in full force and
effect. Se vices
'Y� C� 0-200 Amp. Under 600 V
License Numbe t Lic.Class
ry 01-1000 Amp. Under 600 V
Contractor RI (0112-0Y K Date Over 1000 Amp.or Over 600 V 73
HOME OWNER-BUILDER DECLARATION Temp.Power Pole& Appurtenances
I hereby affirm that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the following reason (Section 7031.5, Busi- Additional Sign Branch Circuits
ness and Professions Code): Y2'5-
Misc.Conduits&Conductors
DI, as owner of the property, will do the work and the Other(See Complete Fee Schedule)— #
structure is not intended or offered for sale (Section
7044, Business and Professions Code). 2-4
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency o' 5
for the performance of the work for which this permit is PERMIT FEE (Sub-Total)
issued (Sec. 3097,Civ.C.).
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee)
Lender's Address PERMIT ISSUING FEE d o 0 w t
000 0 o No
I certify that I have read this application and state that the TOTAL FEE Q N o 0 o Uj
above information is orrect.I agree to comply with all County C71 N N _0 00
ordinan sand St a laws regulating Electrical wiring, and I' .-0 :O . o '�
here uth0 'ze r esent tives oft is C unty to enter upon 00 Cn 0h0 ,p
the e- do d pro rty for'n pec n Pur os s.
SEE REVERSE FOR EXPLANATORY LANGUAGE N O O N 3>
CH
gnat re erfee Mate
COUNTY OF LOS ANQELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0105020042
BUILDING AND SAFET7 / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 15874 LT: 6
5218 ARDEN DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803317
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8585-019-006 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
JI GENERATORS +3-10HP 1.00 GEN 19.65
TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/02/01 UT 10/29/01
OWNER: TEL. NO: FINAL DAT FINAL BY: CODE:
SMITH, HERMAN (626) 279-6109- /J
5218 ARDEN DRy
TEMP 917803317 DESCRIPTION OF WORK
ELECTRICAL & GAS GENERATOR
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �� ,� d_ ., APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO j� O P,* r �� x TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: �� �_—� I UFER GROUND
iLIC. N0: 1�-� -� 11111 11 ROUGH CONDUIT
I
ROUGH WIRIN
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508